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Individual

MADHU SUDAN RANGRAJ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD FACS

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
130100
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00531131
NY
01
0807H
EMPIRE BCBS
NY
01
OD2739
HEALTHNET
01
WS860
OXFORD
Enumeration date
10/20/2005
Last updated
07/13/2026
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